Organization
VOCA CORPORATION OF INDIANA
Active
Other names
SANIBEL
Organization subpart
No
Provider details
NPI number
Authorized official
JAY NAEEM (STATE DIRECTOR)
(502) 394-2100
Entity
Organization
Contact information
Practice address
3335 SANIBEL DR, FORT WAYNE, IN 46815-4755
(812) 273-0523
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100474580B
—
IN
Enumeration date
03/27/2007
Last updated
11/04/2024
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